How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $29.51 | Facility | None | $13.80 | $20.89 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $16.98 | Professional | None | $8.13 | $13.80 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $74.13 | Facility | None | $16.22 | $16.22 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $19.50 Typical High $31.62 | Professional | None | $6.46 | $19.50 | $31.62 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.30 Median $15.85 Typical High $30.20 | Facility | None | $12.30 | $15.85 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $74.13 | Facility | None | $17.38 | $35.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $18.20 Typical High $28.18 | Professional | None | $7.59 | $18.20 | $28.18 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $28.84 Typical High $77.62 | Facility | None | $14.45 | $28.84 | $77.62 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $10.96 Typical High $19.50 | Professional | None | $6.76 | $10.96 | $19.50 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $21.38 | Professional | None | $6.76 | $9.77 | $21.38 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $9.33 | Professional | 52 · Reduced service | $6.92 | $6.92 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $2.82 | $3.72 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 16th of 51
$18.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.